Lesson 4 Flashcards
Typically focus on public health concerns
Federal Government Healthcare Facilities
The Medicare Access & CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015 provides incentives for quality of care over quantity of care and a reasonably priced comprehensive healthcare plan for all children of low and moderate-income families.
MARCA
Rules about how laws are to be used
Regulation
Includes services to treat short but severe illness or injury
Acute care
A request for payment to an insurance company to cover medical service costs
Claims
The first and most basic level of services for injury or illness, often serving as the entry point for patient into the healthcare system
Primary Care
Plans to keep all the team and its resources in compliance with current laws and regulations
Compliance
Charge for their services, pay taxes, and their income from services partially pays expenses and partially is profit
For Profit Healthcare Organizations
Income from services
Revenue
Each service a provider performs is billed to the insurance for a specific fee, and the insurance pays for each services individually
Fee-for-Service Basis
A mandatory rule created by government agency
Law
Put profit back into the organization for future use
Not-for-Profit Healthcare Organizations
The range of healthcare services and service location types that are offered in the industry
Continuum Of Care
Healthcare professionals that provide healthcare services and are credentialed to bill for their services
Healthcare Providers
The type of services for volunteers in medical research and patients who aren’t responding to tertiary care, and is innovative, research-driven, and experimental
Quaternary Care